The URL can be used to link to this page

Home My WebLink About15126-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin§ Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No .... Z. 7.1.5.1.5. ! ...... Date . . D,e. cemb.e.r. 30, 8.6. THIS CERTIFIES that the building One family dwelling with attached dec. k 7485 Bridge Lane Cutchogue, New York Location of Property ............................................................... House No. Street Harnle~ 084 0l 6.3 County Tax Map No. 1000 Section ............ Block ............... Lot ................. Subdivision. M/o Syloret Estates .Filed Map No. 6.3..9.0 LotNo. 3 conforms substantially to the Application for Building Permit heretofore filed in this office dated .J u, 1. y. 15.: 86 15126Z ................ 19 · · · pursuant to which Btfilding Permit No ...................... Ju.l.y 23: 19 8.6, wasiss ed and conforms to all of the require ents dated ........................... u , m of the applicable provisions of the law. The occupancy for which this certificate is issued ig ......... One family dwelling with attached deck. RICHARD E. & VIRGINIA A. DRIES The certificate is issued to ........................................................... [owner, of the aforesaid building. 86-S0-59 Suffolk County Department of Health Approval · N775324 UNDERWRITERS CERTIFICATE NO .................................................. Plumbers Certification dated December 12, 1986 ~ing l~speetor ....... lrOF,~ NO. ~ TOWN OF SOUTHOLD I~IJILDING DEPARTMENT TOWN HALL SOUTHOLD, Iq. Y. BUILDING PERJv~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Z Permission is hereby granted to: .~......~........a....~~ ................... ....LF.-~...~.../...al ................................................... ..~,,A,~..,..,,.~....~.:..H.: ...... I.!..~..~.. ..... ,. ~, p,.m,.., ,o~o,ed a, ..... ~ ~.~ ........ ~ ................... County Tax Map No, 1000 Section ...... C~...~..I~. ....... Block ........ ,~..l ....... Lot No ......~.:...~ ......... ,,ursuont to opp,,cot,o, do,~ ............ ~..~...L~Z .............. . ,,Z..~.. ~,~ ~,ro~ ~ Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $outhold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ ~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. - 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957}, Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 $15.00 Date../,?, i..~..~. ~-..Z~...~. ....... NewConstruction. I/ Old or Pre-existing Building Vacant Land Location of Property ...~./.~..~..-~ ............ .~...'~../.'~...~...~..../>.~ ./~J. House No. Street ~ Ham/et Owner or Owners of Property '~ ' /~--~" County Tax Map No. 1000 Section .............Block ,, ............................ (' ~ ............... ~?..~. ?..~..Lot NO ............. Subdivision ~,~ .~.~ O,/~ ~' ~/.,5'~'-,~/*'-~'~,._K' Filed Map No. Permit No. /~'/2 ~ ~ Date of Permit .Applicant ./'.~./.~z~&~.~. .~..~, ./.~ .~ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $... ,,~.,.~ .................. Construction on above described building and ~erml~ts all a~plical~e co"'~des and reculct~ons. ReV. 10-10-78 FIELD INS?ECTION FOUNDATION (1st) C OH~c,,, i S FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDZTZONA~L COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 0..~ ~,,,,~.,o.~o.o./,~ p~ N 775 R.E. ~ ~.A. Drl~ ~id~ ~ ~on ~ ~ F~ute 48, ~to~e, N.~ in ths foltowlng l,,catlo,~ ~ B,sement ~ Ist FL ~ 2nd ~. Sertion ~4 Bl~k ~s examlned on ~1~ ~ 1~ and found to be in co,npliance with the req t re nents ~f th s Board. FIXTURE FIXTURES RANGES OVENS FANS OUTLETS FLOORESCENT 6 3 2 6 DRYERS TIME CLOCKS UNIT HEATERS MULTI.OUTLET SYSTEMS HO. OF FEET DIMMERS SRRVICE ~tSCONNECT S E R V I C OTHER APPARATUS: A W O. NO. OF HI-LEG 'OF CC, CON~, E AWG OF NEUTRAL 2/O tach.vd G. Dri~ ~ Cutchog~e, N,Y. ll~J GENERat COPY FOR BUILDING DEPARTMENT, THIS C,~RY OF CERTIFICATE MUST NOT BE ALTERED IN ANY ~NNER. ( -/ TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765~I802 CERTIFICATION Date Building Permit No. /~--/~ Owner~C/~/~/~ ~. ~/~ (please print) Plumber ~/~ ~--, ~/~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber s signature) Sworn to before me this ~day of ~ ~c~-~, 19 ~. Notary Public, ~ok~ County Notary Public 765-180;~ BUILDING DEPT. INSPECTION [ ] FRAMING REMARKS: [ ] FOUNDATION ~LST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND []INSULATION []FINAL DATE 76S-1802 BUILDING DEPT~ INSPECTION FOUNDATION 'IST [ ] ROUGH PLB~. [ ] FOUNDATION 2ND [ ] INSULATION ['] FRAMING [~-]'~INAL DATE 765-1802 BUILDING DEPT, INSPECTION D~] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [ ] FRAMING REMARKS: ~- " l-fl(PA'/' FOf46'N t X l&" 4.C. I0' Examined ..~. -~ Approved FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT, ~, TOWN HALL ,, SOUTHOLD, N.Y. 11971 TEL.: 765-1802 .a~.., 19 ?.¢. . .~.~.., 19 .~.if. Permit No.l .~."./..~..~..~. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERiVIIT INSTRUCTIONS Received ........... ~19.., a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, alit regulations, and to admitauth°rizedinspect°rs°npremisesandinbuildingf°rnecessaryin~~/.~7. F~ ..... ~ 'li~a'n~'o '~~--o~a'ti(~"'- (Sigffature ofappfic r, r n , ' p ........... ~..~ ......... 'hr. .... : .... ,... · (ma±l±ng address ot~ appl~cane) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..~ ..................... ~.~..~..~..~..- ......................................................... ......................... /~',,5'~ ' o . . . ......................... Nameof ownerofpremises .../SP./...~..~e?..'~.....~:.. 2 ~'~" '~'~'//b/'/~ ~' (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ~//~ (Name and title of corporate officer) Builder's License No. Plumber's License No ....................... Electncmn s License No ....................... '., ' Other Trade's License No ...... .~./~. ........... 1. Location ofland on which propo~ed work will be done. ~/~/~)~' ..~.../~..~4 ~g/~-~'/~P~ ... ........... ............. ......... House Number Street Hamlet County Tax Map No. 1000 Section .... .~..~..~. ........ Block [ " Lo ~' Subdivision....~..M..~.~...[~..~. I.~.. · .~..~..~..~..~-~..~. ...... Filed Map No. ~ ~7 Lot. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .~./~.C?'~.~. J7' . .~...A/..~... .tt'.~..~ ................. ~ ~ ~* ~.~.~?~',? b. Intended use and occupancy .... .~..~.~.../~. · .~...~......~?./~. -~,~!~~}:;[(~../. ~.~.../~'. · .~. .... 3. ;:Nature of work (check which applicable): New Building ...... Addition .......... Alteration .......... iRepair .......... Removal ................ Demolition .............. Other Work ........... ~i(~ '" L~ .,;~[~ _~~&~l~tK~L- (Description) 4.t~timate4 ,Cost ......... ~ ~.~~ ............ Fee ...................................... [ r~ ~' ¢~ ~:/iL: ~/~ ,~ ~, ' / . (to be paid on filing this applicant) 5. If dwelling, ~h~' ~f'dwelfing units. ~. ~... Number of dwelling units on each floor..~ ~J ...... If garage, number of cars .... ~ ....~/~ ............................................... ~ ............ 6. If business, commercial or mixed occupancy, specify nqt~e and extent of each ~p$ of use ..... ~...~ ...... 7. Dimensions of existing structures, if any: Front .... ~f~O ...... Rear .... ~ ..... Depth ..... ~/~ ..... Height ... ~/~ ....... Number of Stories ..... ~ .......................................... D~ensions of sa~e structure Wi~ alterations or add[tigris: Front .... ~/~ ..... Rear..-~ ....... ~ ~ ~ Depth ...... ~/~ ........ ]... HeiSt..- .... ~/~ ........... Nu~berof~;~s .... ~/d]~ . ~. 8. D~ensions of entire new constmction: Front ..... ~e, ~f5 ~ear...~'... ~ept~...gJ~;~2, J Height .. f~f/~Y. .... Nuhber of ~fies ..... ~...~.~ .... ~ ...................... D.. 10.. Date of Purchase ...... [~ ~. ................ N~ff~f F~er Owner . ~.~W~ ............ 11. Zone or use district in which premises are situated ~ ' ~ ~ . . 12. Does:proposed construction violate any zoning law, ordinance or re~lation: ... ~ ...... ~ ................. 13. Will lot be regraded ...... ~ ........... ~ ....Will excess ffl[he removed from cremises: ~ (Nb) 14. Name of Owner of premises~ ~,~[~Jfl .~ess ~(~.. ~F.~ne No.. ~3g: ~ Nme oSArcnitect .~D~P~[ .~.~ ...... aaa~, 2~g,,.. ~ .... phone No... ~/& ...... ]] Nme of Contractor ~ .~g ........... Aaa~ ~¢~.~¢~no~ No.. 15. Is ~h~s property located withinL00 feet of a tidal wecland~ * ~es ... No ..~. · If yes, Southold To~ T~ustees Permi~, DIAG~Mbe required. Locate clearly ~d dist~ctly ~1 bulldogs, whether existing or proposed, ~d. indicate M1 set-back d~ensions from property lines. Give street ~d bloc}; number or description accord~g to deed, ~d show ~treet n~es and indicate whether interior or corner lot. ........ .,~../..~r...~.~..~.....~-.:..~.~./..' .~.. ............. being duly sworn, deposes and says that he'is the applicant (Name of individual signing contract) above named. He is the . . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements cohtained in this application are true to the best of his knowledge and belief; and tkat the work will be performed in the maurer set forth in the application filed therewith. Sworn to before me this ........ /.~..~. '../, ...... day~4~.7,) ~., ,, ......... , 19 .~. · -,--, NotaryPublic',f~:~.'..~....e~...' '' ~ '~ ....... County '~~. /~~ ~.~.__~i -~' SUFFOLK COUNTY HEAL'I:~ : DEPARTMENT , :.. SINGLE FAMILY DWE~LING ONLY THE SEWAGE DI$~SAL AND W',TE~ .JPPLY FACILITIES FOR THJ'S, LOCATION ~AVE :BEEN INSPeCtED By THIS DEPARTMENT AND FOUND TO BE SATISFACTORY. Chief of WastewateFManagement Section ~p suFFOLK CO. HEALTH DEPT. STATEMENT OF iNTENT THE WATER SUPPLY AND SEWAGE DiSPOsAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO' THE STANDARDS OF THE SUFFOLK CO, DEPT. OF HEALTH SER~!CES, ( APPLICANT SUFFOLK COUNTY SERVICES -- FOR CONSTRUCTION ONLY DATE: H. S. REF. NO.: APPROVED: D~PT. OF HEALTH APPROVAL OF RODERICK VAN TUYL,P.C. LICENSED LAND SURVEYORS GREEN~RT NEW YORK SUfFOlK CD/TaX ma~,~s~GN. Arran: DIST. SECT. BLOCK PCL. i ~ '~'~ I SUFFOLK CO. HEALTH DEPT. APPROVAL , ,-,'~w ~.', ~ i . H.S. NO. i ' r~ ~ STATEMENT ~ INTENT ~ ~ ~ THE WATER ~LY AND SEWAGE ~ ' SYSTEMS FOR THIS RESIDENCE WILL P0i= '" ' l~rt ~ ~UFFOL~D~. O~ ~ALT~ERV~ES. .... / ~ ~ ~ ~ = ~d t~ SUFF~K C~TY OEpT. OF TH - ~ ~ ~ Q ~ ~ SERVICES--'FOR APPEOV~F ' ~ ~ ~ ........... ~FOLK CO. TAX M~ ~GNA~: ~,. ~ ', OWNERS AD~E~: ' : ' ~o~' ~ ,, ~ ~ bJo~: L~ r~u~ ~OW~ ~-,' /./ RODERtCK VAN TUYL,P.C. ~ "~p ~ ~ff~o~ ~,- /' ~.~ ~.~ ~'i~ in ~ ~ot~ ~ C~'~ LICENSED LAND ~RVEYO~ ,. ~ ~ M~ ~. ~O. GREEN~ET NEW YORK , . MODEL CODE DESCRIPTION I r LE6AL DESCRIPTION w,o~, ~ ~ ~.,.~s~.~ / ....,._,..~ OCCUPANCY OR / J Id]Il/ (I) 24, ~/ /~}CRAWL SPACE /",:~eis:i~2~' USE IS UN~WFUL / , ~ I,,tj (8)26 ~ / / ~SQ. F~ (Bi)Bi-LEVEL / s~t.m,~lpmg" / / 1 q No, OF ~F[~oR PLAN d~"~ Wl~ ~ J ~ / - / / OERTIFI TE { , A~'PROVED AS NOTED zOTtF¥ ~UILD~NG OEPARTM~T AT ~'51~2 9 AM TO · PM ~FI THE ~A~ CONS~UC~ON & ~ERGY CODES~ NOT ~S~NSlBLE ~R mESIGN OR C~NS~ON ~RORS. DBL HEADER ) OPENING SILL PLATE ~ BELOW ON II SITE SY OTHER HANDRAILS FUR- NISHED ~ INSTALLED~ I .¥ OTRERS :: 5 I/2" STD. STL. PIPE COLUMN FURNISHED I~ INSTALLED By'~ OTHERS ii FOUNDATION, F, OOTING, ~ FLOOR BY OTHERS· L ....... j INSTALLED BY OTHERS GIRDER--" I I I BASEMENT STAIR DETAIl NO SCALE "~L CONCRETE F~-~/FOOTINeS ~_~m LUMBER cERTIFICATION OPI~ LEAD coNTENT BEFORE CERTIFICATE OF OCCUi~r'"r~Y SiTE PLAN NO SCALE $OLD~ U~D IN WAT~II SUPPLY ~ CANNOT EXCEED 2/10 ef f% LEAD. MASONRY FOUNDATION WALL SHALL EXTEND BELOW LOCAL FROST L~NE. I I ? £/ BASEM~:NT CRAWL SPACE GIRDER SUPPORT DETAILS I/4 "= IL,o" .OTE: A ~', ~" ACCESS C~OOR ~ (,~)~'~,~" FOUNDATION PLAN VENTS SHALL BE PROVIDED BY '~/4"= ILO" U OTHERS WHEN CRAWL SPACE FDN FOUNDATION DRAWINGS ARE NOT A BNDIN(~ DE~I(~N AND ARE PROV ............. -- ]UN,T Nm ] u~u S USED ' SHOW AN ACCEPTABLE MEANS Of SUPPORT AND SPACING Of MAIN GIRDER COLUMN8 NOT PART OF STATE APPROVALS. THE FOUNDATION PLAN SHOWN S FOR [ - I ' ANY ALTERNATE FOUNDATION ACCEPTABLE TO THE LOCAL RUILDING OFF C AL BAS C DIMENSION INFORMATION ONLY. INCLUDING ANy PROVISION FOR BULK-HEAD EXITS~ IS SATISFACTORY. , ,, NOTE ~ S ZE VAR ES PER STATE AND LOCAL REQUIREMENTS NOTE: SILL PLATE SHALL GE ANCHORED TO FDN. WALL WI, TH I/2' x 18 BOLTS CORNERS * ~ INTERVALS NOT TO EXCEED 6-0". .,THESE DIMENSIONS SHALL BE USED WHEN ENERSY ·I PACKAGE IS APPLIED. .~. o' ...x ~ ! ii'.~ .. ,241~,, .IO;~:H ¢ 1'~,. 3)~ . .~S. 53. S ~ ~B~' 'XE8~~ ~3~2B' D~H~' I},59 6,4{' 144.87 ;~ ~ :X ' ~'7'V~ , ~rO~lO' D H. , .6~ ~.5 7'8.8 ~ 46Y~'X57~' 3846 DH, 13,4 7.3 ]67.5 {f REUTEN-KLEIN ~'4 I~TH DOQR SCHEp,ULE · .: '..,REM,ARKS ST:. INSU~, 3/4 HR FIRE RATED ,VI4 , SIDELIGHT STg. INSUL: wZ2 14' 5iDELI'~TS STL. INSUL DOUBLE ~'-8 sem~ 'BLASS ,~OOR SLD NG GLASS DOOR SL~IDING G~ASS DOOR HOLLOW CORE WOOD 'BI-F;OLDD~B~E' Z'-O" WOOD Bt-FOLD : WOOD BI- FOLD DOUBLE HOLLOW CORE ','NOTES: '' ' HErE ~ GLAZING TO INCLUDE C.P.S,C. LSTANDARD W ..... RPL ~ABLE WINDOWS MEET 0,,§ C~'M/LF SASH CRACK- MAX. NFIL~TR'AT ON AT ,25'r~ph WNO~ ' ' ' SWINGING DOORS MEET 1.0 CFM/SE MAX, INFILTRATION AT 25mph WILND: I §6'~ PSE. SLIDING DOORS MEET 0.5 CFM/SE MAX. INFILTRATION AT 2§mph WIND OVERALL DIMENSIONS ARE BARE STUD TO BARGE STUD., ~DDITIONAL IN$1GNIA!S OF APPROVAL ARE REQUIRED IN CONNECTICLiT"MAsSACHUSE~TTS, 8~RHODE ,ISLAND. RHODE ISLAND SMOKE DETECTOR LOCATION ~y LOCAL 'FIRE MARSHAL ' LEGEND DENOTES LOCATION FOR INSIGNIA OF APPROVAL U,L. APPROVED SMOKE DETECTOR(AG-DC POWERED IN CONNECTICUT) WHERE APPLICABLE U.L. APPROVED SMOKE DETECTOR LOCATED ON CEILING AT FOOT OF STAIRS (ON SITE BY OTHERS '~'~'~ 22~"X3d'ATTIC ACCESS ,FX MALTA ANDERSEN ,\/ MODEL. HAT F'I ~' g~ ('~OD,, DEALER; CUSTOMER SIGNITURE: SCALE: . STAMP, O,F APPROVAL FOR A MODEL ~ CO;M~ONENT ' 'NYO052 ........ d~i~'~i6~N .... ~,,,, uNur. No. ~14L1% TER% DFTIONAL ALUI~, 51DING TO iSlE ~ROUNDE D ~? OFP¢ SITE CORNEE5 (01"4 SITE ~Y OTHER%) LEFT !L L F_L.V/k!- tO kJ E L F~ VA%lOIq ~ K_olLI T Z UMIYF_~SAL FOP. EST PRODUCT5 TRU5% DESIqhJ (~) DETAIL ~4°' UNIVERSAL FOR~%T DRODUCff$ lNU5% (~ DETAI L NTB OPTIC t~ cou~ (o~ Srr[ e~ ~ DETAIL CRAWL NT$ SPACE OPTION ~ul~qE$ TORNIE. D UP 4" COflg., ~LO~ Wp ~VI V~-" PAIACiIklC~ AIqD BITUMINOUS COATI M C~ SECTION FLOOR FRAMIN¢~ DOUBLE DETAIL FO' , A k O~ i:L OB COl ,kON~f T N v, 0052 -RF'¢~ ............. 8b ~u §'~T5~,£'~ ................... ~¥ ............ Z ~HEET NO. 40F7 \ \ \ \ \ I / ! / / F_LF_6TY-,IC FtF...,k.T' PLA, NJ FO,',, .~. · .... cL OR COF, FL~NE~T ~J~OOa2 cd;~6~i66~ .................. 7 9 ,31 P/A/hi L3ATI~ ~-T.'~ { FAN ~Zo ~4-z~ /5'A / / / ~T~. x. 'x FLAM \ , \ oh-" ALL V~A~EI~ 12 o~ > ~. UNIT NO SHEET NO